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DATE/TIME <br />TYPE <br />OCCUPANCY <br />CONST TYPE <br />UGB: SITE: <br /> <br />12/31/98 13:21 BUILDING APPLICATION <br />Commercial addition/alteration ACTIVII~/ NO <br />U-1 STATUS <br />V-N APPLIED <br /> TO EXPIRE <br /> <br />98-11131 <br />APPLIED <br />12/21/1998 <br />06/29/1999 <br /> <br />SITE ADDRESS : <br /> 21698 DOLORES WY NE AR Un: CANOPIES <br /> <br />CITY: MARION COUNTY <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br /> PARCEL SIZE <br /> <br />APPLICANT <br />ADDRESS <br /> <br /> LOT: BL: <br />40331-088 MAP: 4 ZONE: ID LAND USE: <br /> .00 AC <br /> <br />PACIFIC NORTHERN ENVIRONMENTAL C OWNER : ISBERG,DOLORES & BOLLAND,MARVIN <br />1081 COLUMBIA BLVD PHONE: <br /> <br />PHONE <br />TOTAL SQ FEET <br /> <br /> VALUATION <br /> <br /> CONTR : PACIFIC NORTHERN ENVIRONMENTAL C <br />LONGVIEW, WA 98622 PHONE: 423-2245 <br />423-2245 OCCB: 0078140 <br /> <br /> 1.500 1ST FLR: 2ND FLR: 2RD FLR: <br /> GARAGE: BASEMENT: OTHER: <br /> $28.140,00 STORIES: i HEIGHT: <br /> <br />Units Description Fee <br /> 1.0 Building Fee 188.50 <br /> 1.0 Plan Review Fee 122.52 <br /> 1 State surcharge 9.42 <br /> 1 Zone surcharge 11.31 <br /> <br /> Assessed fees : 331.77 <br /> Adjust~nts : .00 <br /> Total fees : 231.77 <br /> PAYEE: PACIFIC NORTHERN ENVIRONMENTAL C Total payments: 221.77 <br /> Balance due : .00 <br /> <br /> THIS IS NOT A PERMIT. THIS APPLICATION MUST GO THROUGH A SIMULTANEOUS REVIEW PROCESS <br /> WHERE ZONING. SEPTIC (IF APPLICABLE) AND CONSTRUCTION PLANS ARE CHECKED PRIOR TO THE <br /> ISSUANCE OF A PERMIT. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT ALL <br /> NECESSARY INFORMATION IS PROVIDED. AS SOON AS ALL REQUIREMENTS OF THE REVIEW HAVE <br /> BEEN MET, YOU WILL BE NOTIFIED THAT YOUR PERMIT HAS BEEN ISSUED. <br /> <br /> [ ] I am the PROPERI~ OWNER and own, reside in. or will reside in the completed <br /> structure and will be my own general contractor. I understand that I must <br /> register as a construction contractor if the structure is sold or offered for <br /> sale before or upon completion. If I hire subcontractors, I will hire only sub- <br /> contractors registered with the Construction Contractors Board. If I change my <br /> mind and do hi re a general contractor who is registered, I will immediately <br /> notify Marion County of the name of the contractor, <br /> [ ] I am the CONTRACTOR registered with the State of Oregon. <br /> [~:..I~am an AUTHORIZED REPRESENTATIVE,of N~e property $wner or contractor, <br /> SIGNATURE OF APPLICANT:~ <br /> <br /> DONALD E WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY CLYNCH <br />CALL BEFORE YOU DIG.,.IT'S THE LAW. Oregon law requires you to follow the rules adopted by <br />the Oregon Utility Notification Center (503-222-1987) <br /> <br /> Marion County Building Inspection <br /> 3150 Lancaster Dr, N.E,, Suite C Salem, Oregon 97305-1398 <br />Office Hours: 8:00-4:30 Phone: (503)588-5147 24-hr Inspection Line: (503)373-4427 <br /> <br /> <br />